THE CLINICAL USE OF MAMMOGRAPHY IN THE MA LE

Purpose: During a period of four years 104 mammograms were performed i n 89 men. Mastectomies were carried out on 23 men (group 1). 66 patien ts (group 2) were followed up clinically and in 15 patients serial mam mograms were obtained. Material and method: In group 1 there were 5 pa tients with bilateral gynaecomastia, 9 with unilateral gynaecomastia a nd two with pseudogynaecomastia and there were 7 patients with maligna ncies. In group 2 there were 46 patients with bilateral gynaecomastia and 10 patients with unilateral gynaecomastia. Pseudogynaecomastia was found in 25 patients. There were 7 malignancies, of which 5 had been suspected clinically and one had been diagnosed as gynaecomastia by ma mmography. Two carcinomas in situ were missed clinically and also by m ammography. Conclusion: When malignancy is not suspected on clinical g rounds the first examination should be sonography, mammography being r eserved for Gases of doubt. Where, however, malignancy is suspected, a nd for follow-up, mammography retains its primary position.